Neuropsychiatric symptoms in geriatric patients admitted to skilled nursing facilities in nursing homes for rehabilitation after stroke: a longitudinal multicenter study

Abstract

The findings suggest that NPS should be optimally treated to improve outcome of rehabilitation.

Time Use of Stroke Patients with Stroke Admitted for Rehabilitation in Skilled Nursing Facilities

“…A recent study shows that patients who were discharged had a mean MMSE score of 22 point (22/30). There were no differences in MMSE score between patients who discharged to home and who stays in a nursing home (Buijck, Zuidema, Spruit‐van Eijk, Geurts & Koopmans, .…”

Is patient-grouping on basis of condition on admission indicative for discharge destination in geriatric stroke patients after rehabilitation in skilled nursing facilities? The results of a cluster analysis

“…Rehabilitation programs should, next to balance and functional status, also address neuropsychiatric symptoms and depressive complaints, which may increase during rehabilitation [15]. In addition, rehabilitation programs should define roles for the entire multidisciplinary team, including nursing staff on the rehabilitation ward.…”

“…However, regardless of the degree of physical impairment at baseline, during the rehabilitation process, which takes from a few weeks to 1 year, several additional factors such as comorbidity [12], therapy intensity [13], early start of therapy following stroke [13,14], motivation of the patient, support of relatives, neuropsychiatric symptoms [15], and environment [13] can influence rehabilitation outcomes and discharge destination. Therefore, in order to identify meaningful patient groups for developing specific rehabilitation programs in SNFs, the aims of our study are 1) to determine relevant patient characteristics to distinguish groups of patients based on their admission scores in SNFs, and (2) to study the course of these particular patient-groups in relation to their discharge destination.…”

Neuropsychiatrische syndromen na een beroerte

“…In een Nederlandse studie waren wanen bij drie tot tien procent van de beroertepatiënten aanwezig en ongeveer vier procent had hallucinaties. 86,87 Echter, specifieke meetinstrumenten voor psychose 88,89 worden in onderzoek met beroertepatiënten niet vaak gebruikt. Ook is er nog geen onderzoek gedaan naar welk instrument het meest geschikt is voor deze populatie.…”